Periodontics is the specialized field of dentistry that deals with the study of supporting structures of teeth such as gums, alveolar bone, ligament, and cementum, along with the diseases associated with them. Moreover, this field also focuses on the placement, maintenance, and repair of dental implants.

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FAQ

When should you see a periodontist?

The general dentist can handle certain patients ‘ periodontal requirements if it is not that severe. However, you need to see a specialized periodontist if you have the following sign and symptoms:

• Bleeding gums
• Bad Breath (Halitosis)
• Moving teeth(mobile teeth)
• Mis-fitted dentures
• Dental plaque
• Gum recessions

Besides these symptoms, there are also several risk factors that you need to consider such as smoking, drinking, diabetes, obesity and vitamin D disorders that can lead to gum diseases in the future. Hence if you have these conditions, then you should book an appointment with our periodontist right away.

Bleeding Gums

Bleeding gums are one of the major symptoms of oral diseases like gingivitis. Gingivitis is a dental problem that involves inflammation of gums.

What causes bleeding gums?

Sometimes, when you brush vigorously using the wrong technique, your gums might bleed. However, regular bleeding is associated with more risks and the causes can be one of the following:

• Have gingivitis, a disease that causes inflammation of the gums
• Brush too hard or your toothbrush isn’t soft enough
• Just started a flossing routine and your gums aren’t used to it yet
• Take certain medications, like blood thinners
• Have dentures that don’t fit well
• Periodontitis

Periodontitis is the severe stage of gingivitis. If you do not undergo plaque cleaning once you have been diagnosed with gingivitis, then the condition will worsen making your gums inflamed and infected, damaging your bone that supports your teeth.

How can I prevent bleeding gums?

Mild bleeding gums can be prevented or treated by following good oral hygiene. Also, you should visit your dentist regularly, every six to 12 months and undergo cleaning and physical examination. If you have periodontitis

Good oral hygiene
You should learn to brush your teeth for two minutes at least twice daily, in the morning and before going to bed. Flossing twice a day using a prescribed mouth wash is also very important to keep bleeding gums at bay.
Regular dental visits
See your dentist or dental hygienist regularly for cleanings, usually every six to 12 months. If you have risk factors that increase your chance of developing periodontitis such as having dry mouth (Xerostomia), taking certain medications or smoking, you may need professional cleaning more often.

Bad Breath

What is Bad Breath?

Bad breath, medically termed as Halitosis is also another serious dental condition where a foul odour or smell comes from a person’s mouth. Generally, when we eat certain foods like junk foods, onions and garlic, we will have a bad breath. Chronic bad breath, however, is not a good sign and can indicate serious health issues like oral cysts, oral cancer, gastritis and so on.

Why do I have bad breath?

There are many possible causes that you have a foul smelling breath which includes:

• Eating foods like onions, garlic, and fast food
• Smoking and chewing tobacco
• Poor dental hygiene
• Dry mouth
• Certain medications
• Oral infections
• Constipation
• Gastritis

How can I treat bad breath?

Treatment measures may include:

Mouth rinses and toothpaste
Bad breath due to plaque build-up can be treated with mouth rinses and toothpaste. Your dentist may recommend a mouth rinse that kills the bacteria or a toothpaste that contains an antibacterial agent to kill the plaque causing bacteria.

Treatment of dental disease
If you have gum disease, you may be referred to a gum specialist (periodontist). Gum disease can cause gums to pull away from your teeth, leaving deep pockets that fill with odor-causing bacteria. For that, you’ll either need tooth restoration or deep professional dental cleaning.

Xerostomia (Dry Mouth)

What is Xerostomia?

Dry mouth, medically termed as Xerostomia refers to a condition in which the salivary glands in your mouth don’t make enough saliva to keep your mouth wet.

Why do I have a dry mouth?

Dry mouth is often due to the side effect of certain medications or aging issues or as a result of radiation therapy for cancer. Sometimes, dry mouth might be caused by salivary gland infection. Other causes include:

• Nerve damage in the head or neck area
• Excessive tobacco and alcohol use
• Use of certain medications like anti-depressants
• Poor Dental hygiene
• Cancer Therapy

Decreased production of saliva will increase bacterial growth inside the mouth as the saliva helps to neutralize the acids produced by the bacteria, washing away stuck food particles.

How can I treat Dry mouth?

Treatment of dry mouth basically involves avoiding things that are causing it in the first place. Your doctor may recommend you to change medication or limit tobacco and alcohol use to treat the condition. You can switch to another medication that doesn’t induce dry mouth. Furthermore, your dentist will recommend you products like Oral rinse solution or artificial saliva or moisturizers to lubricate your mouth.

Sensitive Teeth

Having a sensitive tooth is termed as “Tooth sensitivity” or “Dentin hypersensitivity.” If you feel sharp sudden pain after eating something hot, cold, sweet or very acidic foods and drinks, or even cold air, then you have sensitive teeth.

Why do I have tooth sensitivity?
Tooth sensitivity is one of the most common dental problems that affects nearly half of the total human population. The main reason for this is due to the exposure of dentin. Dentin (may) gets exposed when you have periodontal disease or receded gums. So when you eat something hot or sour, the acid in the food dissolves the tooth surface, exposing the dentin. Dentin too contains a protective covering (enamel), but when it loses it, the acidic or sticky foods reach the nerve endings, causing pain and sensitivity.
How can I treat sensitive teeth?
You can treat sensitive teeth by consulting your dentist because he/she can give you the best treatment option for your problem. However, here are some treatment options that you can adopt if you suffer teeth sensitivity:

• Use a low abrasion desensitizing toothpaste
• Brush-on fluoride gel or fluoride mouth wash
• Fluoride varnishes or plastic resins
• Surgical gum graft
• Root Canal Treatment

Oral Hygiene

Good oral hygiene is the foundation for healthy teeth and healthy gums. This means that practicing certain simple techniques to keep your mouth clean and free of disease is crucial for your overall oral health. Techniques include brushing your teeth twice a day, flossing, using mouthwash and visiting your dentist on a regular basis.

Why is good oral hygiene important?

Good oral hygiene determines the overall health of an individual and how he/she is maintaining his/her life. Healthy, free of plaque teeth won’t decay or have to undergo any kind of painful surgery, hence it saves you time and money. Also, it is important to understand that only brushing and flossing are not enough to keep your teeth free from diseases. You should always visit your dentist twice a year to diagnose any potential disorders or diseases that can be cured immediately.
All in all, practicing good oral hygiene techniques can significantly reduce your oral health problems and even overall health problems.

Am I brushing my teeth right?

In case you didn’t know, there are correct and better ways to brush and floss. When you brush, make sure you wet the brush, not after you put the toothpaste on it. Brush in all different angles also in circles, not just sideways and reach out for the front and the back of the teeth. Brush for at least two minutes. Also, avoid brushing too vigorously so you don’t damage your enamel. Replace your toothbrush every three months. Brush twice a day, in the morning and during the night after dinner. All these tips can help ensure you have great oral hygiene!

Healthy gums

Healthy gums determine the overall oral health of an individual. Although brushing regularly twice a day is a common practice among people, most of them do not floss after brushing. Flossing cleans between the teeth and removes plaque which is the major causative agent of gum diseases.

How do you know if you have gum disease?

If your gums are inflamed or infected severely and the tissues surrounding the teeth are swollen or filled with abscess and your teeth have cavities or plaques, then you have gum disease and you need to diagnose it immediately by consulting your periodontist.

What are the different types of gum diseases?

There two types or stages of gum diseases include:

Gingivitis
This is a common gum disease and is diagnosed mainly after you have bleeding gums after brushing. Other peculiar symptoms include redness, irritation, and swelling of the gum. If this disease is left without any treatment or preventive measures then it can lead to further complications like periodontitis.

Periodontitis
Periodontitis is a severe gum disease that occurs when gingivitis is not treated in time. This disease not only affects the gum but also the tissues and the bone that support the tooth. The gums start to recede and this opens up the pockets of the gums leading the bacteria to accumulate in the pockets and cause dental caries.

Prevention and Treatment for Gum Diseases

Your dentist or oral hygienist will suggest you the professional dental cleaning to treat gingivitis. Furthermore, improved oral hygiene, including daily brushing and flossing is important to prevent the reoccurrence of the disease.

On the contrary, periodontitis might need surgery under the critical condition when the bacteria have infected the bone and the gums of the teeth. Like gingivitis, it needs a clean, deep scaling and root preparation as well to wash the gums and teeth down to the root.

Gum Grafting for Gum Restoration: If your dentist or periodontist has recently told you that you need a gum graft, worry not! A gum graft is a quite important procedure to protect your teeth against the harmful effects of recessing gums and bacterial infection.

What is a Gum Graft?

A gum graft is a type of dental surgery performed to correct the effects of gum recession. In this procedure, your periodontist removes healthy gum tissue from the mouth’s roof and uses it to rebuild the gum that has undergone a recession.

Who will benefit from a Gum Graft?

A gum graft is a simple and quick method that helps one to prevent the harmful effects of recessing gums and gum diseases. It is completely safe unless you do not take medications or maintain a diet as given by your doctor. Flossing or brushing of the repaired gum line can cause pain and destroy the grafted tissue. Also, you might need to get on an antibiotic to reduce the risk of oral infection.

How long does the surgery take?

The procedure doesn’t take that much long and the recovery takes about a few weeks to heal. You need to wait for a week or two to eat normal foods like eggs, pasta, yogurt, cheese, and ice-cream.